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Arthritis is
an illness that can cause pain and swelling in your joints.
Joints are places where two bones meet, such as your elbow
or knee. Some kinds of arthritis can cause problems in other
organs, such as your eyes, or in your chest. It can affect
your skin, too.
Osteoarthritis
is the most common form of arthritis. This is the form that
usually comes with age and most often affects the fingers,
knees, and hips. Sometimes osteoarthritis follows an injury
to a joint. For example, a young man might hurt his knee
badly playing football. Then, years after the knee has
healed, he might get arthritis in his knee joint.
Rheumatoid arthritis happens when the body's
own defense system doesn't work properly. It affects joints,
bones, and organs--often the hands and feet. You may feel
sick or tired, and you may have a fever.
Unlike
osteoarthritis, rheumatoid arthritis is an autoimmune
disease where the body's immune system attacks the synovial
fluid within joints as though it was disease-causing
bacteria or viruses. Rheumatoid arthritis afflicts 2.1
million Americans and causes many of the same symptoms as
osteoarthritis, but symptoms also include fatigue, fever and
an overall sense of feeling ill. Symptoms usually come and
go, but in severe cases, they can continue unabated for
years and sometimes lead to other problems such as anemia,
neck pain, dry eyes and mouth and, in severe cases,
inflammation of the blood vessels, the lining of the lungs
or the membrane surrounding the heart. However,
arthritis is not a single condition. There are well over 150
kinds of arthritis, all of which affect one or more joints
in the body, and some of these forms of arthritis don't
involve any inflammation. Arthritis Prevention and Treatment
There's not much anyone can do to prevent the various forms
of arthritis, but you can take steps to avoid flare-ups of
gout and rheumatoid arthritis and to manage the progression
or intensity of osteoarthritis. Medications are available to
prevent gout recurrences and reduce production of uric acid.
Losing weight can help prevent further attacks of gout and
can also lessen the pain of osteoarthritis by reducing extra
stress on joints. Exercise can reduce joint pain and
stiffness. While walking or jogging is hard on the joints,
swimming or water aerobics provide an equivalent workout
without the stress. Occupational therapy can give you
techniques for performing routine activities in ways that
don't tax the joints.
Treatment for osteoarthritis ranges from over-the-counter
anti-inflammatory drugs such as aspirin and ibuprofen for
pain relief to stronger, prescription anti-inflammatory and
steroids. Medications called DMARDs (disease-modifying ant
rheumatic drugs) can sometimes slow the course of rheumatoid
arthritis. When damaged joints become disabling, tendon
reconstruction, synovial fluid replacement, or total joint
replacement surgery are options for people with both
osteoarthritis and rheumatoid arthritis.
Natural or alternative treatments for arthritis include bee
venom therapy — using bee stings to reduce swelling and
inflammation. Some medical evidence suggests that this works
in rats, but there's no proof that it helps arthritic
people. However, studies have found that another alternative
therapy, a form of meditative martial arts, can be very
useful. Although it hasn't been studied among arthritis
patients, researchers have found that Tai Chi improves
flexibility, builds muscle strength, improves range of
motion and balance, relieves stress and pain yet is so
gentle on the body that almost everyone can do it.
Arthritis Risk Factors
As we get older, we're all at risk of osteoarthritis, but
you're more prone to the disease if you're overweight as
the excess pounds put extra pressure on the joints.
Athletes and dancers (and women who regularly wear high
heels!) who stress their bodies much more than the average
person also have a higher than average risk of developing
osteoarthritis.
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